Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
A. N. Ryazanov,
V. V. Soroka,
S. P. Nokhrin,
D. V. Kandyba,
S. A. Platonov,
V. N. Zhigalo,
A. V. Osipov,
A. B. Kurilov,
E. P. Ryazanova,
P. M. Malkova https://doi.org/10.24884/0042-4625-2020-179-6-66-71
Abstract
The article describes a case of successful treatment of the rupture of aortic aneurysm by the endovascular method. Patient P., 71 years old, was hospitalized in a multidisciplinary hospital with a diagnosis of acute cerebral circulation disorder. The patient was examined in the intensive care unit. Signs of neurological symptoms regressed. Spiral computed tomography of the chest organs was performed with suspected pulmonary embolism, the results of which revealed an aneurysm of the descending thoracic aorta, complicated by a rupture with the formation of a right-sided hemothorax. The patient underwent endoprosthesis of the thoracic aorta with stent graft. After 2 days, thoracoscopic sanitation, drainage of the right pleural cavity was performed. The postoperative period proceeded without peculiarities. The patient was discharged on the 12th day in satisfactory condition. At control examination in 1, 6, 12 months, the long-term steady positive result was noted. Endovascular methods minimize the risk of postoperative complications, contributing to a favorable outcome of the disease.
About the Authors
A. N. Ryazanov
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Ryazanov Alexey N., Cand. of Sci. (Med.), Doctor of the Department of Vascular Surgery
3, Budapeshtskaya str., Saint Petersburg, 192242
V. V. Soroka
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Soroka Vladimir V., Dr. of Sci. (Med.), Professor, Honored Doctor of the Russian Federation, Head of the Department of Emergency Cardiovascular Surgery
Saint Petersburg
S. P. Nokhrin
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Nokhrin Sergey P., Dr. of Sci. (Med.), Head of the Department of Vascular Surgery
Saint Petersburg
D. V. Kandyba
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Kandyba Dmitry V., Cand. of Sci. (Med.), Head of the Department of X-ray and Surgical Methods of Diagnosis and Treatment
Saint Petersburg
S. A. Platonov
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Platonov Sergey A., Cand. of Sci. (Med.), Chief of the Department of X-ray and Surgical Methods of Diagnosis and Treatment
Saint Petersburg
V. N. Zhigalo
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Zhigalo Viktor N., Doctor of the Department of X-ray and Surgical Methods of Diagnosis and Treatment
Saint Petersburg
A. V. Osipov
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine;
Military Medical Academy
Russian Federation
Russian Federation
Osipov Alexey V., Cand. of Sci. (Med.), Senior Research |Fellow of the Department of Emergency Surgery;
Associate Professor of the Department of Navy Surgery
Saint Petersburg
A. B. Kurilov
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Kurilov Alexander B., Cand. of Sci. (Med.), Doctor of the Department of Vascular Surgery
Saint Petersburg
E. P. Ryazanova
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Ryazanova Eugenia P., Surgeon of the Department of Surgical Infections
Saint Petersburg
P. M. Malkova
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Malkova Polina M., Resident in the specialty of cardiovascular surgery
Saint Petersburg
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Ryazanov A.N., Soroka V.V., Nokhrin S.P., Kandyba D.V., Platonov S.A., Zhigalo V.N., Osipov A.V., Kurilov A.B., Ryazanova E.P., Malkova P.M. Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask». Grekov's Bulletin of Surgery. 2020;179(6):66-71. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-6-66-71
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